Individual
CRISTIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
1 DOGWOOD LN, MCLOUD, OK 74851-8452
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54132
OK
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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